Healthcare Provider Details

I. General information

NPI: 1740932409
Provider Name (Legal Business Name): A&M HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2022
Last Update Date: 02/15/2022
Certification Date: 02/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1S158 DANBY ST
VILLA PARK IL
60181-3611
US

IV. Provider business mailing address

1S158 DANBY ST
VILLA PARK IL
60181-3611
US

V. Phone/Fax

Practice location:
  • Phone: 630-457-0141
  • Fax:
Mailing address:
  • Phone: 630-457-0141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TASEEN ALI
Title or Position: CEO
Credential: MD
Phone: 630-457-0141